Stitch Pain After Surgery: What You Need to Know - Surgery

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Sutured wounds may experience sharp pain?


Hello, doctor.
It has been four weeks since my surgery, and the wound is healing well.
However, in the past few days, I have started to feel a sharp pain at the right side of the sutures, specifically at the knot.
Will the sutures fall out on their own? They haven't fallen out yet.

Hank, 20~29 year old female. Ask Date: 2016/12/28

Dr. Xu Kaixi reply Surgery


Hello, unless there is an infection or other complications, the surgical wound should have healed after four weeks.
If the wound was sutured with non-absorbable stitches, you should return to the surgical outpatient clinic to have the stitches removed.

Reply Date: 2016/12/28

More Info


After surgery, experiencing stitch pain or discomfort around the incision site is relatively common and can be attributed to several factors. Given that you are four weeks post-operation and your wound is healing well, it is important to understand the nature of this pain and what it signifies.


Understanding Stitch Pain
1. Healing Process: As your body heals, the tissues around the incision site undergo various changes. The pain you are feeling, especially if it is sharp or stabbing, may be due to the nerves regenerating and the surrounding tissues adjusting. This is often referred to as "neuropathic pain," which can occur when nerves are irritated or compressed during the healing process.

2. Suture Reaction: The stitches used to close your incision can also cause localized pain. This is particularly true if the stitches are made of materials that your body reacts to, or if they are pulling on the surrounding tissue. The knot at the end of the suture can sometimes be more sensitive, leading to the sensation of sharp pain or discomfort.

3. Stitch Absorption: If you have absorbable stitches, they typically dissolve over time and do not need to be removed. However, the timeline for this can vary based on the type of material used. If you have non-absorbable stitches, they will need to be removed by a healthcare professional, usually within a few weeks after surgery. If you are concerned about the stitches not falling out or if they seem to be causing significant discomfort, it is advisable to consult your surgeon.

4. Infection or Complications: While it is less likely if your wound is healing well, any new or worsening pain, especially if accompanied by redness, swelling, or discharge, could indicate an infection or other complications. It is crucial to monitor your symptoms and seek medical advice if you notice any concerning signs.


Recommendations for Management
- Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort. However, always consult your healthcare provider before taking any medication.

- Wound Care: Keep the incision clean and dry. Follow your surgeon's instructions regarding wound care, including when and how to clean the area.

- Avoid Strain: Try to avoid activities that put strain on the incision site, as this can exacerbate pain. Gentle movements and stretches may be beneficial, but listen to your body and avoid pushing through pain.

- Follow-Up: If the pain persists or worsens, or if you have any concerns about the stitches or the healing process, schedule a follow-up appointment with your surgeon. They can assess the incision site and determine if any intervention is necessary.


Conclusion
In summary, stitch pain after surgery is a common experience as your body heals. It can be due to the healing process, suture material, or even nerve regeneration. Monitoring your symptoms and maintaining open communication with your healthcare provider is essential for ensuring a smooth recovery. If you have any doubts or if the pain becomes unmanageable, do not hesitate to reach out for professional advice. Your well-being is the priority, and addressing any concerns early can help prevent complications and promote healing.

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